Trick-or-Treat Safety
Courtney Carter
/ Categories: WELLNESS, 2024

Trick-or-Treat Safety

As you ready your little ghouls and goblins for trick-or-treating, it’s important to review basic safety rules to help ensure their holiday is scary in the best possible kind of ways.

Here’s a terrifying Halloween fact: Two times as many child pedestrians die on Halloween compared to other days. Thanks to a too-often deadly combination of being out after dark and wearing vision-limiting costumes, what should be a fun evening of mischief and merriment, Halloween can quickly become an actual nightmare.

However, by taking a few simple precautions and following practices, trick-or-treaters and their escorts can safely navigate their way home with plenty of candy in tow.

Here’s where to start:

COSTUMES

Make sure costumes, wigs and accessories are all fire-resistant.

Make sure costumes and footwear don’t create built-in tripping hazards.

Attach reflective tape to the sides, front and back of costumes and bags or use glow sticks to keep trick-or-treaters visible after dark.

If possible, use make-up instead of masks, which can limit visibility. Be sure to test make up on a small area of skin before applying to a child’s face and remove all makeup before bed to prevent skin and/or eye irritation.

TRICK-OR-TREATING

Always accompany young children around the neighborhood. Older trick-or-treaters should only venture out in the company of at least one other.

Caution children against entering homes or cars for treats.

Only cross the street at corners, using traffic signals and crosswalks.

Keep to sidewalks and designated pathways. If there aren’t sidewalks, walk facing traffic and as far off the road as possible.

Encourage children to walk and not run between houses.

Plan your route to keep road crossings to a minimum.

Only go to homes where a porch light is on.

Keep your eyes on the road and not on phones or other electronic devices.

TREAT EATING 

Do not allow children to eat treats before they get home where you can inspect candy.

Do not allow children to eat anything that is not commercially wrapped or any treats with torn or damaged wrappers, including pinholes. Any treats that appear unusual or discolored or suspicious in any way should be thrown out.

If you have young children, remove any small candies, including hard candy, peanuts, or gum, as they may present a choking hazard.

If your child has a food allergy, be sure to read all labels carefully to make sure allergens aren’t present.

DRIVING SAFETY

Drive with your headlights on, even before dusk.

Be alert for kids, especially at intersections, medians and on curbs

If you’re transporting trick-or-treaters, make sure they’re buckled up appropriately in a car seat or with a seat belt each time they get in the car.

If a costume makes it difficult to buckle a car seat or belt correctly, remove the costume or problematic portion of the costume each time they get in the car.

Try to park in spot where you do not need to back up.

Enter and exit driveways, parking spots and side streets with extreme caution.

By being cautious and mindful of safety, you can make ensure Halloween is a treat for all.

Jaclyn Lozier, MD, FAAP, is the Chair of Pediatrics, Southwestern Vermont Medical Center and the Medical Director, SVMC Pediatrics.

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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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